NPIMap

Organization Active NPI

Clancy D. Boynton, DMD., PC

Doing business as Main Street Dental Care

  • Dental Clinic/Center
  • Haverhill, MA
National Provider Identifier
1821356031
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
13010 Issued in MA
Legal business name
CLANCY D. BOYNTON, DMD., PC
Doing business as
Main Street Dental Care
Practice address
483 Main St
Haverhill, MA 01830-3221
Phone
(978) 374-7381
Fax
(978) 372-5411
NPI assigned
Apr 25, 2012
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alexandra Montanez
Title
Office Manager
Phone
(978) 374-7381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 13010 MA Primary

Addresses

Primary practice location

483 Main St
Haverhill, MA 01830-3221

Mailing address

483 Main St
Haverhill, MA 01830-3221
Phone (978) 374-7381

Other names 1

  • Main Street Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

483 Main St
Haverhill, MA 01830
Phone (978) 374-7381

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1821356031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018303221",
            "telephone_number": "978-374-7381",
            "fax_number": "978-372-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018303221",
            "telephone_number": "978-374-7381",
            "fax_number": "978-372-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLANCY D. BOYNTON, DMD., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "MONTANEZ",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-374-7381"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "13010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.